Individual
MARIBETH MULSID BUGASH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2722 SILVER HAMMER WAY, BROOKEVILLE, MD 20833-3243
(240) 507-0105
Mailing address
2722 SILVER HAMMER WAY, BROOKEVILLE, MD 20833-3243
(240) 507-0105
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
R205166
MD
363LG0600X
Gerontology Nurse Practitioner
R205166
MD
363LP2300X
Primary Care Nurse Practitioner
R205166
MD
Other
Enumeration date
04/19/2023
Last updated
04/19/2023
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